Provider Demographics
NPI:1255874368
Name:WILSON, JOSHUA HUNTER (OD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HUNTER
Last Name:WILSON
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 ERIC CV
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5393
Mailing Address - Country:US
Mailing Address - Phone:662-832-1609
Mailing Address - Fax:662-269-0856
Practice Address - Street 1:3833 N GLOSTER ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-0914
Practice Address - Country:US
Practice Address - Phone:662-269-0856
Practice Address - Fax:662-269-0856
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS941152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist